Management of hemodynamically unstable pelvic frac- ture in pregnancy： a case report and review of literature  

作　　者：ZHANG Peng ZHOU Dong-sheng HU Jing-mei LI Lian-xin MU Wei-dong 

机构地区：[1]Department of Orthopaedics,Provincial Hospital Affili-ated to Shandong University,Jinan 250021,China [2]Center for Reproductive Medicine,Shandong University,Jinan 250021,China

出　　处：《Chinese Journal of Traumatology》2012年第4期234-237,共4页中华创伤杂志（英文版）

摘　　要：We present an unusual case of an un- stable pelvic fracture during pregnancy period, who suf- fered fetal death and splenic rupture simultaneously which developed massive delayed hemorrhage in abdomen. When considering potential causes of fetal death, direct trauma to the uterus, placenta, or fetus was not associated with a higher fetal mortality rate, compared with maternal hemorrhage. A cesarean section and splenectomy could res-cue the maternal life from the hemorrhage situation. Suc- cessful treatment of these rare cases is possible with careful pre-, peri-, and post-operative evaluation of the mother and fetus by a multidisciplinary team.

关 键 词：Pelvis fracture PREGNANCY Splenic rupture Fetal death 

分 类 号：S858.292[农业科学—临床兽医学] Q66[农业科学—兽医学]